Appendix 2
School-based After-school Learning and Support Programmes 2012/13 s.y.
Community -based Project – Progress Report (up to 31/12/2012)
(This form, duly completed and signed should be returned to the
Extended Support Programmes Section by mail or by fax on or before 31 January 2013)
Name of Organization
：
Project Title
：
Reference No.
：
：
Actual no. of students served
Name of approved
activity
Total no. of
activities:
__________
Room 5203, 52/F,
Hopewell Centre,
183 Queen’s Road East,
Wanchai, Hong Kong
Fax No: 3107 1306
Project Coordinator ：
：
Contact Person
Contact Tel. No.
A. Information on Activities under the Programme
Please provide information on all approved activities.
( I ) (a) Activities wholly held with collaborating school(s)：
Estimated no.
of
participating
eligible
students #1
No. of
students
Participation
counts
(total no. of
students listed
above):
__________
Participation
counts
(total no. of
students listed
above):
__________
Eligible students
Average
attendance
rate (%)
Average
rate:
_____%
Non-eligible
Amount of
Is the activity
students#2
grant
on schedule?
Average
apportioned#4
(Please refer to
No. of
($)
attendance
#3)
students
(A1)
rate (%)
Participation
counts
(total no. of
students listed
above):
__________
Extended Support
Programmes Section
Financial report
Other
Subsidy
income#5
from
(if figure
available)
($)
(B1)
NGO($)
(C1)
Expenses#6
(if figure
available)
($)
(D1)
Name of collaborating
school(s)
Remark
Total($)
Average
rate:
_____%
(A1)=
(B1)=
(C1)=
(D1)
(Use separate sheets if necessary)
(b) Information of eligible students in collaborating schools (up to 31 December 2012)
No. of eligible students benefitted (count by heads):
(i)
Subtotal
：
CSSA
：
(ii) SFAS full grant
(iii) total no. of disadvantaged students under the discretion quota #1(only applicable to
the students identified by the collaborating school(s))
：
(iv) Total no. of eligible students benefitted : (i) + (ii) +(iii)
=
(v) Total no. of non-eligible students (must pay full fee)：
：
=
Total no. of students: (iv) + (v)
( II ) (a) Activities open to the community：(including activities which are serving wholly eligible students in the community and those partly collaborating
with school(s) in the district and partly serving the community)
Actual no. of students served
Estimated no. of
participating eligible
students #7
Eligible students #7
Total no. of activities:
__________
Pv
Cs
Od
Pv
Cs
Participation Participation Participation
counts:
counts:
counts:
Participation Participation Participation
counts:
counts:
counts:
Participation counts
(total no. of students listed
above):
Participation counts
(total no. of students listed
above):
＿＿＿＿＿＿________
Amount
Is the
of grant
activity on
Average schedule ? apportion
ed #4($)
attendance
#3
(A2)
rate (%)
#2
Name of activity
Od
Non-eligible students
＿＿＿＿＿＿
Average
attendance
rate (%)
Average
rate:
_____%
No. of
students
Participation
counts
(total no. of
students
listed
above):
_____
Financial report
Other
income #5 Subsidy
(if figure from
available) NGO
($) (C2)
($)
(B2)
Name of
Expenses #6
(if figure collaborating Remark
available) school(s) (if
any)
($)
(D2)
Total ($)
Average
rate:
______%
(A2)=
(B2)=
(C2)=
(D2)=
(b) Information of eligible students in open to the community activities (up to 31 December 2012)
School classification
No. of eligible students benefitted (count by heads) ：
Od
Pv
Subtotal
Cs
(vi) CSSA
(vii) SFAS full grant
(viii) total no. of disadvantaged students under the discretion quota
#1
(only
applicable to the students identified by the collaborating
school(s))
(ix) Total no. of eligible students benefitted: (vi) + (vii) + (viii)
=
(x) Total no. of non-eligible students (must pay full fee) :
Total no. of students (ix) + (x) =
( III ) Number of participating students in the whole
project (up to 31 December 2012)
(IV) Financial Summary of the whole project (up to 31 December 2012)
Information on eligible students (count by heads):
(E) administration cost
： $
(F) project coordination expenditure
： $
(i)+(vi) total no. of students receiving CSSA
：
(G) Administration cost and project co-ordination
(ii)+(vii) total no. of students receiving SFAS full grant
：
expenditure subsidised by NGO
： $
(iii)+(viii)total no. of disadvantaged students under the
discretion quota #1(only applicable to the students
identified by the collaborating school(s))
(a) Total no. of eligible students benefitted
：
(H) total project expenditure = (D1)+(D2)+(E)+(F)
：
(I) amount of approved grant
= $
： $
(Please fill in accordance with the item 5 of part J of the application form, i.e. the
t total amount of grant approved to your organization before the due date of this progress
r report)
Non-eligible students:
From (v)
：
(J) interest earned (if any)
From (x)
：
(K) total project income =
(B1)+(B2)+(C1)+(C2)+(G)+(I)+(J)
= $
(b) Total no. of non-eligible students
：
balance = (K)–(H)
= $
Total no. of students (a) + (b)
：
： $
Remarks：
#1.
#2.
Eligible students: students in receipt of CSSA, SFAS full grant or disadvantaged students under the discretion quota (only applicable to the students identified by the collaborating school(s))
Non-eligible students: students who have to pay to participate.
These students must pay full fee; full fee means the actual cost of an activity for each participating student (including eligible and
non-eligible students)（e.g. if the actual cost for the activity is $1,000 with a total of 6 eligible students and 4 non-eligible students participating in the activity, the cost for each participating student should
be $100; each non-eligible student should therefore pay $100）.
#3.
#4.
#5.
#6.
#7
Is the activity on schedule? The progress should be stated as: (a) completed; (b) in progress; (c) pending or (d) cancelled.
Amount of grant apportioned: referring to the amount allocated from the approved project. Should subsidize only the eligible students, non-eligible students must pay full fee.
Other income: other income of the activity such as the fee paid by the non-eligible students, donation and sponsorship. If the figure is not known yet, please fill in pending.
Expenses: the expenses for organizing the activity (including subsidy by NGO in the expense). If the figure is not known yet, please fill in pending.
For activities also serving the whole community, priority should be given to eligible students from “Od” and “Pv” schools
- Od (students from Government, Aided or Direct Subsidized Scheme schools not listed in (I))；
- Pv (students from private schools)；
- Cs (students from collaborating schools listed in (I))
*Name of NGO/ Subsidiary
Centre or Unit
：
*Name and Post of Head of
NGO/ Subsidiary Centre or
：
Unit/ Project Coordinator^
Date
：
Name
/ Post
Signature ：
(*Head of NGO/ Subsidiary Centre or Unit / Project Coordinator(s)^)
*NGO’s/ Subsidiary Centre or
Unit’s chop
^ If signed by Project Coordinator, all Project Coordinators appear in Part E of the Application Form for Community-based Project should also sign.
* (Delete whichever is not applicable)
Name of
Organisation：
Application
Ref. No. ：
B.
Project Effectiveness
In general, how would you rate the achievements of the activities conducted / in progress to the benefitted
eligible students:
Improved
Please put a “” against the most appropriate
Not
No
Declining
Significant
Moderate
Slight
Applicable
Change
box.
Learning Effectiveness
a)
b)
c)
d)
e)
Students’ motivation for learning
Students’ study skills
Students’ academic achievement
Students’ learning experience outside classroom
Your overall view on students’ learning
effectiveness
Personal and Social Development
f)
g)
h)
i)
j)
k)
l)
m)
Students’ self-esteem
Students’ self-management skills
Students’ social skills
Students’ interpersonal skills
Students’ cooperativeness skill with others
Students’ attitudes toward schooling
Students’ outlook on life
Your overall view on students’ personal and
social development
Community Involvement
n) Situation on students’ participation in
extracurricular and voluntary activities
o) Students’ sense of belonging
p) Students’ understanding on the community
q) Your overall view on students’ community
involvement
C.
Comments on the project conducted / in progress
Have you encountered any of the following problems / difficulties when implementing the project?
(You may tick more than one box)
□ insufficient manpower to conduct the activities;
□ collaborating schools unable to provide sufficient no. of eligible students (i.e., students receiving CSSA,
SFAS full grant);
□ eligible students unwilling to join the programmes;
□ cooperation with collaborating schools needs improvement;
□ unable to employ suitable tutors to conduct activities;
□ complicated to fulfill the requirements for handling funds disbursed by EDB;
□ the reporting requirements too complicated and time-consuming;
□ Other suggestions (Please specify):_____________________________________________
Appendix 3(a)
School-based After-school Learning and Support Programmes 2012/13 s.y.
Activity Income & Expenditure Statement (up to 31/12/2012)
Name of NGO
:
Project Ref no.
:
Name of the Activity :
(Independent Statement form for each approved activity)
(Please use separate sheet if space is not enough)
Actual no. of eligible students served:
Actual no. of non-eligible students served:
Income Items
HK$
Amount of grant approved for this activity
Fees collected from Non-eligible students
）
Others (Please specify:
Total Income (A)
Subsidy by NGO (B)
Expenditure Items
Total____groups, each group with____sessions x ____hr(s) and/or____half day/full day
Tutor fee (No. of tutors:
)
(No. of social workers:
)
(No. of other staff: _________)
Material expenses
Camp / Admission fee
Students’ meal
Activity transportation fee
Volunteers allowance (No. of volunteers:
Other (Please specify:
)
)
Total Expenditure (C)
Balance (A + B - C)
I have already checked all the information provided above and verified that all
expenditure receipts are certified true and correct. I also confirm that the above
approved activity is *in progress / completed.
*Name and Post of Head of NGO/ Subsidiary Centre or Unit/ Project Coordinator(s)^:
Name:________________________________
Post:_____________________________________
Signature:
Contact Tel. No.:
Remarks:
Date:
*NGO’s/ Subsidiary Centre’s or Unit’s chop
^ If signed by Project Coordinator, all Project Coordinators appear in Part E of the Application Form for Community-based Project should also sign.
*(Delete whichever is not applicable)
Appendix 3(b)
School-based After-school Learning and Support Programmes 2012/13 s.y.
Project Coordination Expenditure Statement (up to 31/12/2012)
Name of NGO
:
Project Ref no.
:
HK$
Approved Grant for Project Coordination (A)
Project Coordination Expenditure
Project coordination expenditure (Aug)
Project coordination expenditure (Sep)
Project coordination expenditure (Oct)
Project coordination expenditure (Nov)
Project coordination expenditure (Dec)
Total Expenditure for Project Coordination (B)
Project Coordination Expenditure Subsidised by NGO (if any) (C)
Balance (D) = (A + C - B)
Approved Grant for Administration Expenditure (E)
Administration Expenditure Items
Staff transportation fees
Photo-copying
Stationery
Postage
Others (Please specify:
)
Total Expenditure for Administration (F)
Administration Expenditure Subsidised by NGO (if any) (G)
Balance (H) = (E + G - F)
I have already checked all the information provided above and verified that all
expenditure receipts are certified true and correct.
*Name and Post of Head of NGO/ Subsidiary Centre or Unit/ Project Coordinator(s)^:
Name:________________________________
Post:_____________________________________
Signature:_____________________________
Contact Tel. No.:
Remarks:
Date:
*
*NGO’s/ Subsidiary Centre’s or Unit’s chop
^ If signed by Project Coordinator, all Project Coordinators appear in Part E of the Application Form for Community-based Project should also sign.
*(Delete whichever is not applicable)